BRENT MORRIS NEWELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035690

License Status

EXPIRED

Business

First Name

BRENT

Middle

MORRIS

Last Name

NEWELL

Suffix

Business Name

BRENT MORRIS NEWELL MD

Original Issue Date

04/25/1997

Effective Date

04/25/1997

Expiration Date

06/30/1998

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006